Insurance approval

[robynsch 9]

Is doing a 6 month supervised diet a stipulation of coverage? Or can you get approved without the 6 month supervised diet?

Sent from my SM-G930V using BariatricPal mobile app

[catwoman7 10,922]

that's totally up to your insurance company. Some require it, some don't. The only way to know for sure is to call them

[naiad 51]

Is doing a 6 month supervised diet a stipulation of coverage? Or can you get approved without the 6 month supervised diet?
Sent from my SM-G930V using BariatricPal mobile app

Mine required it! I have uhc and I had 6 months of dietician visits and a required weight loss designated by the surgeon.

Sent from my SM-G960U using BariatricPal mobile app

[jaytissle55 180]

Mine was 3 visits with surgeon office and a host of other testing, so I had my initial consult on 1/10/2019 and surgery scheduled for 5/13/2019.

[Alwzla8 155]

My insurance did not require any pre approval diet, just to qualify for the BMI

[Pamela Stanley 1]

I was denied by BCBS and am wondering if anyone else was. If so were you able to get approval a second time?

[jaytissle55 180]

What were u denied for???

[Frustr8 7,886]

I wonder also, my guess would be for dropping below a 40 BMI. BCBS is infamous for taking premium money in and not paying out for the most ludicrous reasoning! In my area of the country it is Anthem BCBS, We even have a little ditty about it!
"Making sure we all get screwed
That's what Anthem BCBS Do! " And in this case instead of LOL it's COL!

[Pamela Stanley 1]

my BMI was below 40 but I have High Blood pressure. My BMI is 41 now. I have done everything required and hoping for approval the next time it is submitted.

[Frustr8 7,886]

And may it be Just So!

[Alwzla8 155]

I also have BCBS and my BMI was 39.1 and no other qualifiers I unfortunately gained a few pounds which put me higher but I got approval with 39.9 thank god.

[TracyS 62]

I didn't need to do that with Kaiser. Each insurance is different.

Sent from my SM-N960U using BariatricPal mobile app

[Pamela Stanley 1]

My doctor’s office appealed for me after a denial and got me approved. BCBS of AL.

[ARMoma45 353]

On 3/30/2019 at 9:10 AM, Alwzla8 said:

My insurance did not require any pre approval diet, just to qualify for the BMI

I was denied the first time by BCBS because I lost too much weight. They apparently wanted me to FAIL to lose 10% of my body weight in 6 months. I continued my monthly visits which proved that the weight comes right back and insurance approved me the second time.

[🅺🅸🅼🅼🅸🅴🅺 296]

I'm Anthem BCBS and my plan requires 6 dietician visits. My last one is May 1st so after that, I'll have more info to give about the experience.